Individual provider Active NPI

Angel L Fontan, M.A.

  • Forensic Psychiatry Physician
  • Rio Piedras, PR
National Provider Identifier
1124239710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
877 Issued in PR
Practice address
1106 Calle 41
Villa Nevarez
Rio Piedras, PR 00927-5102
Phone
(787) 758-8019
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 877 PR Primary

Addresses

Primary practice location

1106 Calle 41
Villa Nevarez
Rio Piedras, PR 00927-5102

Mailing address

E12 Calle Benitez
Sierra Berdecia
Guaynabo, PR 00969-6231
Phone (787) 789-1712

Other names 1

  • Mrs. Maria S. Rivera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
877PRMDForensic Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124239710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E12 CALLE BENITEZ",
            "address_2": "SIERRA BERDECIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696231",
            "telephone_number": "787-789-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CALLE 41",
            "address_2": "VILLA NEVAREZ",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009275102",
            "telephone_number": "787-758-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAN",
        "first_name": "ANGEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "PR",
            "license": "877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "RIVERA",
            "middle_name": "S.",
            "prefix": "MRS.",
            "credential": "PSY. D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.